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Individual
OMAR MACIAS
Active
Individual
OMAR MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
05/15/2025
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